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STEPHANIE'S FAMILY TREATMENT GROUP, LLC.

Company Details

Entity Name: STEPHANIE'S FAMILY TREATMENT GROUP, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 06 Feb 2014 (11 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: L14000020580
Address: 3699 COCONUT RD., LAKE WORTH, FL 33461
Mail Address: 3673 ELIZABETH STREET, LAKE WORTH, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760806764 2014-02-11 2014-02-11 3613 COCONUT RD, LAKE WORTH, FL, 334613585, US 3613 COCONUT RD, LAKE WORTH, FL, 334613585, US

Contacts

Phone +1 561-502-0305
Fax 7728725287

Authorized person

Name MR. DEXTER D HEAD
Role FACILITY MANAGER
Phone 7722194041

Taxonomy

Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
State FL
Is Primary Yes

Agent

Name Role Address
AYALA, PEDRO J, SR. Agent 106 SUNSHINE BLVD, ROYAL PALM BCH, FL., FL 33411

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
Florida Limited Liability 2014-02-06

Date of last update: 22 Jan 2025

Sources: Florida Department of State